Symptom Bother, Physical and Mental Stress, and Health-related Quality of Life in Women with Overactive Bladder Syndrome

Mi-Young Kim; Young-hea Kim; Jeong-Zoo Lee; Hyun-mi Son

doi:10.4069/kjwhn.2013.19.4.295

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Kim, Kim, Lee, and Son: Symptom Bother, Physical and Mental Stress, and Health-related Quality of Life in Women with Overactive Bladder Syndrome

Original Article

Korean Journal of Women Health Nursing 2013; 19(4): 295-305.

Published online: 31 December 2013

DOI: https://doi.org/10.4069/kjwhn.2013.19.4.295

Symptom Bother, Physical and Mental Stress, and Health-related Quality of Life in Women with Overactive Bladder Syndrome

Mi-Young Kim¹, Young-hea Kim², Jeong-Zoo Lee¹, Hyun-mi Son²

¹Department of Urology, Pusan National University Hospital, Busan, Korea.

²Pusan National University, Busan, Korea.

Corresponding author: Son, Hyun-mi. College of Nursing, Yangsan Campus of Pusan National University 49 Busandaehak-ro Mulgeum-eup Yangsan 626-870 Korea. Tel: +82-51-510-8315, Fax: +82-51-510-8308, hmson@pusan.ac.kr

Received 2 September 2013 Revised 25 November 2013 Accepted 3 December 2013

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The objective of this study was to identify the relationships among symptom bother, physical and mental stress and health-related quality of life (HRQoL) in women with overactive bladder (OAB) syndrome.

Methods

The participants were 106 women who were diagnosed with OAB (urgency, urge urinary incontinence, frequency, and/or nocturia) at P university hospital. Data were collected from Dec 23, 2011 to Aug 31, 2012.

Results

The mean score for symptom bother was 43.1 points, for physical stress, 12.8 which was slightly higher than mental stress (11.8), and for HRQoL, 63.9. For symptom type, there were statistically significant differences in the symptom bother (F=8.67, p<.001) and HRQL (F=3.32, p= .023). The Symptom bother of OAB was positively correlated with physical stress (r=.23, p= .014) and mental stress (r=.33, p<.001) and negatively correlated with the subscales of HRQoL; coping (r=-.66, p<.001), concern (r=-.71, p<.001), sleep (r=-.59, p<.001), and social interaction (r=-.58, p<.001).

Conclusion

From the results, bother symptom was associated with physical, mental stress and HRQoL. These results suggest that nursing intervention programs for OAB should be developed not only to relieve the symptoms but also to reduce stress and improve the quality of life.

Keywords: Overactive bladder, Symptom Assessment, Stress, Quality of life

Figures and Tables

Table 1

Subjects' Characteristics (N=106)

BMI=body mass index.

^†Median value=200, range=30~1,000; ^‡≥1 cup /day.

Table 2

Disease Related Characteristics (N=106)

UTI=Urinary tract infection.

^†Median value=24, range=3~396; ^‡Multiple response.

Table 3

Level of OAB Symptom Bother, Stress and HRQoL (N=106)

OAB=overactive bladder; HRQoL=health related quality of life.

Table 4

Comparison of OAB Symptom bother, Stress and HRQoL by Disease related Characteristics (N=106)

OAB=overactive bladder; HRQoL=health related quality of life; HT=Hypertension; UTI=Urinary tract infection.

^†Scheffé test or Dunnett test.

Table 5

Comparison of OAB Symptom Bother, Stress and HRQoL by Subjective Symptom Types (N=106)

OAB=overactive bladder; HRQoL=health related quality of life.

^†Scheffé test.

Table 6

Relationships among OAB symptom Bother, Stress and HRQoL (N=106)

OAB=overactive bladder; HRQoL=health related quality of life.

Notes

This article is a condensed form of the first author's master's thesis from Pusan National University.

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